Abstract:
:Pseudallescheria boydii is a fungal organism known to affect immunocompromised patients. This organism is known to cause, in severe cases, invasive infection of various organs such as the central nervous, cardiovascular, and respiratory systems. We report an unusual case of pulmonary P. boydii pneumonia in an immunocompromised critically ill patient with a co-infection of Aspergillus fumigatus and Aspergillus terreus with ARDS. This case highlights the importance of a high index of suspicion for superimposed fungal infections in patients who are critically ill and immunocompromised. Uncommon fungal pathogens should be considered in the differential diagnosis of respiratory failure, especially if diagnostic markers such as galactomannan (from BAL and serum) or 1,3-beta-D-glucan are elevated. Further diagnostic interventions are warranted when insufficient clinical improvement is observed to prevent treatment failure and adverse outcomes.
journal_name
Mycopathologiajournal_title
Mycopathologiaauthors
Lahmer T,Messer M,Ehmer U,Eser S,Beitz A,Fekecs L,Schmid RM,Huber Wdoi
10.1007/s11046-015-9952-8subject
Has Abstractpub_date
2016-04-01 00:00:00pages
267-71issue
3-4eissn
0301-486Xissn
1573-0832pii
10.1007/s11046-015-9952-8journal_volume
181pub_type
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